What is transferred in this process are the internal images of people with whom the patient has had conflictual relationships in her life, in which she was unable to fulfill central needs, or could do so only partially, because the other person responded with shame or rejection, or in which she was not allowed to express feelings such as love or aggression because these were met with prohibition. In the therapist, personality traits of parents, siblings, teachers, friends, partners, supervisors, and even her own children can be re-experienced. This can help make unconscious conflicts accessible to consciousness. However, it can also become a source of resistance, as the patient may develop the feeling that, even here with her therapist, she is not allowed to name, let alone experience or express, important feelings or needs. From the patient’s perspective, we then cease to be experienced as mildly positive, friendly companions, and instead become critical, prohibitive, or shaming with regard to important feelings and impulses—even if we do not perceive ourselves this way. Therefore, it is important to recognize and address such transferences early on, so that conflicts can be brought to awareness rather than blocking the therapeutic relationship.

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Transference Resistances

  • Thomas Abel

摘要

What is transferred in this process are the internal images of people with whom the patient has had conflictual relationships in her life, in which she was unable to fulfill central needs, or could do so only partially, because the other person responded with shame or rejection, or in which she was not allowed to express feelings such as love or aggression because these were met with prohibition. In the therapist, personality traits of parents, siblings, teachers, friends, partners, supervisors, and even her own children can be re-experienced. This can help make unconscious conflicts accessible to consciousness. However, it can also become a source of resistance, as the patient may develop the feeling that, even here with her therapist, she is not allowed to name, let alone experience or express, important feelings or needs. From the patient’s perspective, we then cease to be experienced as mildly positive, friendly companions, and instead become critical, prohibitive, or shaming with regard to important feelings and impulses—even if we do not perceive ourselves this way. Therefore, it is important to recognize and address such transferences early on, so that conflicts can be brought to awareness rather than blocking the therapeutic relationship.